Standardized tests are created to be psychometrically strong. Psychometrics is the discipline concerned with constructing assessment tools, measurement instruments, and formalized testing models. Many tests are composed solely of multiple choice questions. MCTs allow efficient coverage of a great deal of information and the tests can be written to assess various learning outcomes – from basic recall to data evaluation. However, there are limits to the types of knowledge that can be tested with MCTs. For example, MCTs are not a strong choice for evaluating someone’s ability to organize thoughts or articulate ideas, both of which are key in Medical Affairs. This blog posts talks about how to write a good stem for a multiple choice test.